Town of Winthrop : Record of Deaths 1953, Part 57

Author: Winthrop (Mass.)
Publication date: 1953
Publisher:
Number of Pages: 600


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1953 > Part 57


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(Pramina


HYPERTRO PhiEd.


ANTE


Due To


· Hapubrafted finostate


CEDENT (b)


CAUSES


Euroenter


VRinARY


(c)


OTHER SIGNIFICANT CONDITIONS


Major findings: Of operations.


Date of operation.


Was autopsy performed?


5 Was disease or injury in any way related to occupation of deceased? on If so, specify. (Signed) Sezon Eschaffa M. .19. (Address)


St .... Michaels


Boston


(City or Town)


6 Place of Burial or Cremation DATE OF BURIALAugust .... 28 19 53


7 NAME OF FUNERAL DIRECTOR Richard C .Kirby


ADDRESS 917 Bennington St East Boston


AUG & 6 1953 19


Received and filed.


(Registrar)


1953 (Year)


(Month)


(Day)


4 I HEREBY CERTIFY,


That I attended deceased from


1945- to Cluj 24


Plast saw h alive on


24


1959


, death is said to


015


m.


have occurred on the date stated above, at


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


Cuz


24


55 Shirley


(a) Residence. No. (Usual place of abode)


UCTIONS FOR CERTIFICATE


iving OF DEATH t enter than one for each b) and (c)


does not mean f dying, such ure, asthenia. ns the disease, ations which h.


conditions, ng rise to the : (a) stating lying cause


ions contrib- death but not e disease or using death.


( ) 50M-5-52-907046


What test confirmed diagnosis?


10ys


-


To be filed for burial permit with Board of Health or its Agent.


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR).


no


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medical officer shall forthwith. after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. . . Gen. Laws, Chap. 46, Sec. 9.


A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall. if the deceased. to the best of his knowledge and belief. served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer, shall forfeit ten dollars. For the purposes of this section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46. Sec. 10.


No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another. or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board. agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original inter- ment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the


death certificate contains a recital, as required by. section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).


Medical examiners shall make examination upon the view of the dead bodies of persons as are supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizable disease, or when any person is found dead. .. .- General Laws, Chap. 38, Sec. 6., as amended by Chap. 632, Sec. 4, Acts of 1945.


No undertaker or other persons shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board', from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.


Chap. 114, Sec,46, G. L., (Tercentenary Edition). .


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice: 1


(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.


(2) Board of Health physicians will certify to such deathsonly as those of persons who though disabled by recognized disease unrelated to any form of injury, have, died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.


(3) Medical/Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths for disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.


Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT


SERVICE NUMBER


R-301A 1


PLACE OF DEATH


Suffolk (County) Winthrop (City or Town) 65 Waldemar Ave. No. Alfred Harris (If deceased is a married, widowed or divorced woman, give also maiden name.)


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


To be filed for burial permit with Board of Health or its Agent.


Registered No. 185


J(If death occurred in a hospital or institution, St. Į give its NAME instead of street and number)


2 FULL NAME.


65 Waldemar Ave.


St.


(If nonresident, give city or town and State)


(a) Residence. No. . 51 (Usual place of abode) Length of stay: In place of death 2.years 39 months. days. In place of residence .years .months .days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


august (Month)


25 (Day)


1953 (Year)


8 SEX


Male


9 COLOR OR RACE


White


10 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCEDHarried


10a If married, widored pediyprseche Hooper


HUSBAND of.


(Give maiden name of wife in full)


(or) WIFE of.


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


AGE 77 Years 4


Months


14 Days


If under 24 hours


Hours . . Minutes


13 Usual


Occupation:


Sheet Metal Worker (Kind of work done during most of working life)


14 Industry


or Business:


Heating Co.


15 Social Security No.


025-03-1110


Burmingham


16 BIRTHPLACE (City)


(State or country)


England


17 NAME OF


FATHER


Robert


Harris


PARENTS


18 BIRTHPLACE OF


FATHER (City)


(State or country)


England


19 MAIDEN NAME


OF MOTHER


Elizabeth Dutton


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


England


21 Informant Josephine Harris


(Address)


65 Waldemar Ave. Winthrop


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial ar transit permit was issued:


Waller L. Bakery.


Signature of Agent of Board of Health or other)


Health Officer


8.27.53


(Official Designation)


(Date of Issue of Permit)


CTIONS OR ERTIFICATE


iving F DEATH tenter han one or each ) and (c)


es not mean dying, such re, asthenia. s the disease. tions which


conditions, g rise to the (a) stating ing cause


ons contrib- eath but not disease or using death.


Ca y colon -


ho


Date of operationy ago


... Was autopsy performed?


pathological study


5 Was disease or injury in any way related to occupation of deceased?


If so, specify.


(Signed)


(Address) 222 PLEASANT ST Date 5/20


M. D.


1953


6


winthrop


Place of Burial or Cremation


(City or Town)


DATE OF BURIAL


Aug. 27


1953


7 NAME OF


FUNERAL DIRECTOR


winther mai.


ADDRESS


Received and filed


AUG 27 1953


19


(Registrar)


That I attended deceased from


to.


Quy 25


1253


I'Mlast saw hun


.. alive on


aug 20


1953


death is said to


1:45


.m.


have occurred on the date stated above, at INTERVAL BE- DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) General Casaromatises TWEEN ONSET AND DEATH 1yr


ANTE CEDENT (b) CAUSES


Due ToCarcinoma of coton


Due To (c)


OTHER SIGNIFICANT CONDITIONS


17 yrs


Major findings:


Of operations.


What test confirmed diagnosis ?..


Winthrop


50M (B)-1-51 903586


PERSONAL AND STATISTICAL PARTICULARS


PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR) -


4 I HEREBY CERTIFY,


July 10


53


19


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medical officer shall forthwith, after the (leath of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased furnish for registration a standard certificate of death, stating to the bestof his knowledge and belief the name of the deceased. his supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. . . Gen. Laws, Chap. 46, Sec. 9.


A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer, shall forfeit ten dollars. For the purposes of this section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.


No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town. from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original inter- ment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the


death certificate contains a recital, as required by, section ten of chapter forty-six. that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be ohtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).


Medical examiners' shall make examination upon the view of the dead bodies of persons as are supposed- to have died by violence, or by the action of chemical, thermal or electrical 'agents or following abortion, or from diseases resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizable disease, of when any person is found dead. .. - General Laws, Chap. 38, Sec, 6., as amended by Chap. 632, Sec. 4, Acts of 1945.


No undertaker or other persons shall baty a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board; from the clerk of the town where the body is to he buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial groundin which the interment is made.


Chap. 114, Bec 46, (Teremteniary Edition).


FRESOF PRACTICE


The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice: (1) Attending phy to whom they have giftfifacertify torsach deaths only as those of persons : Care during a last illness from disease unrelated to any form of injury.


(2) Board of Health physicians will certify to such deathsonly as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.


Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook -- hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT


SERVICE NUMBER.


.1


ORM R-302 1


WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD


Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time after the close of the month in which the death occurred. (See Chap. 46, Sec 12, G. L.) of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased resided as soon as possible,


PLACE OF DEATH


STIFFOLK


(County) BOSTON


(City or Town)


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


BOSTON


(City or town making return)


Registered No. ..... 7533


18.6


J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)


XXX


2 FULL NAME


BARBARA .... RILEY


(If deceased is a married, widowed or divorced woman, give also maiden name.)


42 .... Myrtle Ave


xxx


ity of town and State)


Length of stay: In place of death. years ... months.


} ... days. In place of residence ....... 6.years ..


months.


days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


August


Month)


25


(Day)


1953


(Year)


8 SEX


F


9 COLOR OR RACE


10 SINGLE


MARRIED


WIDOWED


or DIVORCEDingle


4 I HEREBY CERTIFY.


ThatWE & tenfiled Piacgased


from


8/24 19 ..


to


8/25


...


19.


53


I last saw h.


.alive on


19


death is said to


have occurred on the date stated above, at


1.15p.


.m.


INTERVAL BE-


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH (a) ....... acuto ..... pulmonary ...


edoma


hrs.


ANTE


Due To


CEDENT (b)


CAUSES


lopears congenital


Due To (c)


OTHER


SIGNIFICANT


CONDITIONS


Major findings:


Of operations.


Otoplasty


Date of operation.


8/25/53Was autopsy performed?


no


What test confirmed diagnosis ?.


clinical


5 Was disease or injury in any way related to occupation of deceased? If so, specify


(Signed) .....


H Nigro


Date.


8/25


19 ...... 513


6 .... anthrop Place OF Bunal & Cremation


Winthrop ...


DATE OF BURIAL.


Aug .... 28


195.3


7 NAME OF


FUNERAL DIRECTOR


J O'Maley


ADDRESS


Received and filed ..


SEP 8.


winthrop, Mass.


19


(Registrar of City or Town where deceased resided)


11 IF STILLBORN, enter that fact here.


12


AGE ....


Years


3Months


Days


If under 24 hours


.Hours .....


Minutes


13 Usual


Occupation :...


Student


Work done during most of working life)


14 Industry


or Business:


School


15 Social Security No.


16 BIRTHPLACE (City) .....


(State or country)


Chelsea;


17 NAME OF


FATHER


George Riley


18 BIRTHPLACE OF


FATHER (City)


Chelsea


(State or country)


Mass


19 MAIDEN NAME


OF MOTHER


Barbara MoQueenoy


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Chelsea


Nass


21


Informant


(Address į


G Riley


A TRUE COPY


ATTEST:


(Registrar of City or Town where death occurred)


Aug 31


53


DATE FILED .19


25M-3-53-909098


(Address)


BCH


M. D.


PARENTS


TWEEN ONSET AND DEATH


6yrs


10a


If married, widowed, or divorced


HUSBAND of.


(Give maiden name of wife in full)


(or) WIFE of.


(Husband's name in full)


(write the word)


(Was deceased a


U. S. War Veteran,


if so specify WAR)


(a) Residence.


No.


(Usual place of abode)


No. Boston City Hospital


.........


RECEIVE


TUN


7


THROP


SEP-8


PLACE OF DEATH


Suffolk (County) Winthrop (City or Town) 23 Ocean Ave


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


To be filed for burial ·permit with Board of Health or its Agent.


Registered No.


187


J(If death occurred in a hospital or institution, St. \ give its NAME instead of street and number)


2 FULL NAME ..


Stanley


Sacks


(If deceased is a married, widowed or divorced woman, give also maiden name.)


51


Cheney St


St.


Roxbury


(If nonresident, give city or town and State)


Length of stay: In place of death


years ..


2


months. .days. In place of residence


3


9


.years


months


.days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


Male


9 COLOR OR RACE


White


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


(Month)


(Day)


(Year)


4 THEREBY CERTIFY .


That


I attended deceased from


19


I last saw h


alive on.


19


death is said to


have occurred on the date stated above, at


.m.


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH


(a).


ay- Jacks Deseas


(Cenaunatic Family Chiary).


INTERVAL BE- TWEEN ONSET AND DEATH 3 yrs.


11 IF STILLBORN, enter that fact here.


12


3


AGE


Years


9


Months


Days


If under 24 hours


Hours ....


Minutes


13 Usual


Occupation:


(Kind of work done during most of working life)


14 Industry or Business:


15 Social Security No.


16 BIRTHPLACE (City) ..


(State or country)


Boston


OTHER


SIGNIFICANT


CONDITIONS


zone


Major findings:


Of operations


Date of operation.


Was autopsy performed? 200


What test confirmed diagnosis ?.


Clinical


5 Was disease or injury in any way related to occupation of deceased? to


(Signed). M. D. (Address) Winthrop Banaly Haet Bite 8/27/1953


Mark Sharon


6


Sharon Memorial


Place of Burial or Cremation


(City or Town)




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